In re Weatherford International Securities Litigation c/o GCG P.O. Box Dublin, OH PROOF OF CLAIM FORM
|
|
- Candace Dean
- 8 years ago
- Views:
Transcription
1 Must be Postmarked No Later Than August 19, 2014 In re Weatherford International Securities Litigation c/o GCG PO Box Dublin, OH WFD *P-WFD-POC/1* Claim Number: Control Number: PROOF OF CLAIM FORM YOU MUST SUBMIT A PROOF OF CLAIM FORM TO THE ADDRESS ABOVE POSTMARKED NO LATER THAN AUGUST 19, 2014 TO BE ELIGIBLE TO RECEIVE A SHARE OF THE NET SETTLEMENT FUND IN CONNECTION WITH THE SETTLEMENT OBTAINED IN THE ACTION IN RE WEATHERFORD INTERNATIONAL SECURITIES LITIGATION, NO 11 CIV 1646 (LAK) (JCF) TABLE OF CONTENTS PAGE NO SECTION A - CLAIMANT IDENTIFICATION2 SECTION B - GENERAL INSTRUCTIONS3-4 SECTION C - SCHEDULE OF TRANSACTIONS IN WEATHERFORD COMMON STOCK5 SECTION D - RELEASE OF CLAIMS AND SIGNATURE6 SECTION E - CERTIFICATION6-7 Important - This form should be completed IN CAPITAL LETTERS using BLACK or DARK BLUE ballpoint/fountain pen Characters and marks used should be similar in the style to the following: ABCDEFGHIJKLMNOPQRSTUVWXYZ
2 Claimant or Representative Contact Information: 2 SECTION A - CLAIMANT IDENTIFICATION *P-WFD-POC/2* The Claims Administrator will use this information for all communications relevant to this claim (including the check, if eligible for payment) If this information changes, you MUST notify the Claims Administrator in writing at the address above Claimant Name(s) (as you would like the name(s) to appear on the check, if eligible for payment): Street Address: City: Last 4 digits of Claimant SSN/TIN: 1 State: Zip Code: Country (if Other than US): Name of the Person you would like the Claims Administrator to Contact Regarding This Claim (if different from the Claimant Name(s) listed above:): Daytime Telephone Number: Evening Telephone Number: Address ( address is not required, but if you provide it you authorize the Claims Administrator to use it in providing you with information relevant to this claim) NOTICE REGARDING ELECTRONIC FILES: Certain claimants with large numbers of transactions may request to, or may be requested to, submit information regarding their transactions in electronic files To obtain the mandatory electronic filing requirements and file layout, please visit the Settlement website at wwwweatherfordsecuritieslitigationsettlementcom or you may the Claims Administrator s electronic filing department at eclaim@gcginccom Any file not in accordance with the required electronic filing format will be subject to rejection No electronic files will be considered to have been properly submitted unless the Claims Administrator issues an after processing your file with your claim numbers and respective account information Do not assume that your file has been received or processed until you receive this If you do not receive such an within 10 days of your submission, you should contact the electronic filing department at eclaim@gcginccom to inquire about your file and confirm it was received and acceptable To view GCG s Privacy Notice, please visit 1 The last four digits of the taxpayer identification number (TIN), consisting of a valid Social Security Number (SSN) for individuals or Employer Identification Number (EIN) for business entities, trusts, estates, etc, and telephone number of the beneficial owner(s) may be used in verifying this claim
3 3 *P-WFD-POC/3* SECTION B - GENERAL INSTRUCTIONS A It is important that you completely read and understand the Notice of Pendency of Class Action and Proposed Settlement, Settlement Fairness Hearing and Motion for Attorneys Fees and Reimbursement of Litigation Expenses (the Notice ) and the Plan of Allocation included in the Notice The Notice and the Plan of Allocation set forth in the Notice describe (i) the proposed Settlement that will resolve the Action; (ii) how Settlement Class Members are affected by the Settlement; and (iii) the manner in which the Net Settlement Fund will be distributed, if the Court approves the Settlement and the Plan of Allocation The Notice also contains the definitions of many of the defined terms (which are indicated by initial capital letters) used in this Proof of Claim Form ( Claim Form ) By signing and submitting this Claim Form, you will be certifying that you have read the Notice, including the terms of the release described therein and provided for herein B TO BE ELIGIBLE TO RECEIVE A DISTRIBUTION FROM THE NET SETTLEMENT FUND CREATED BY THE SETTLEMENT, YOU MUST MAIL YOUR COMPLETED AND SIGNED CLAIM FORM TO THE CLAIMS ADMINISTRATOR VIA FIRST-CLASS MAIL, POSTAGE PREPAID, POSTMARKED ON OR BEFORE AUGUST 19, 2014, ADDRESSED AS FOLLOWS: In re Weatherford International Securities Litigation c/o GCG PO Box Dublin, OH C The Claim Form is directed to the following Settlement Class: All Persons who purchased or otherwise acquired Weatherford International Ltd ( Weatherford ) common stock between April 25, 2007 and March 1, 2011, inclusive (the Settlement Class Period ), and who were allegedly damaged thereby Excluded from the Settlement Class are Defendants and Weatherford s officers, affiliates, and directors, members of their immediate families and their legal representatives, heirs, successors or assigns and any entity in which a Defendant has a controlling interest Also excluded from the Settlement Class are any persons or entities who exclude themselves from the Settlement Class by filing a timely request for exclusion in accordance with the requirements set forth in the Notice D If you are NOT a member of the Settlement Class described above, or if you, or someone acting on your behalf, submitted a request for exclusion from the Settlement Class, then DO NOT submit a Claim Form You may not, directly or indirectly, participate in the Settlement if you are not a member of the Settlement Class Thus, if you requested exclusion and are excluded from the Settlement Class, any Claim Form that you submit, or that may be submitted on your behalf, will not be accepted with respect to the Settlement E If you are a member of the Settlement Class, you are bound by the terms of any judgment entered in the Action, WHETHER OR NOT YOU SUBMIT A CLAIM FORM, unless a valid request for exclusion from the Settlement Class is received by June 8, 2014 in accordance with the requirements set forth in the Notice The Judgment in connection with the Settlement will release and enjoin the filing or continued prosecution of the Settled Claims (defined in paragraph 1(ee) of the Stipulation) against Defendants and certain parties related to Defendants (ie, the Released Parties as defined in paragraph 1(cc) of the Stipulation) F Submission of this Claim Form, however, does not ensure that you will share in the proceeds of the Settlement Fund created in this Action Distribution of the Net Settlement Fund will be governed by the Plan of Allocation (as set forth in the Notice), if it is approved by the Court, or by such other plan of allocation as the Court approves G Use Section C of this Claim Form to supply all required details of your transaction(s) in Weatherford common stock On the schedules provided, please provide all of the information requested below with respect to all of your holdings, purchases, acquisitions and sales of Weatherford common stock, whether such transactions resulted in a profit or a loss Failure to report all transactions during the requested periods may result in the rejection of your claim
4 4 SECTION B - GENERAL INSTRUCTIONS (CONTINUED) *P-WFD-POC/4* H You are required to submit genuine and sufficient documentation for all of your transaction(s) in and holdings of Weatherford common stock, as requested in Section C of this Claim Form Documentation may consist of copies of brokerage confirmations or monthly statements The Settling Parties and the Claims Administrator do not independently have information about your investments in Weatherford common stock IF SUCH DOCUMENTS ARE NOT IN YOUR POSSESSION, PLEASE OBTAIN COPIES OR EQUIVALENT CONTEMPORANEOUS DOCUMENTS FROM YOUR BROKER FAILURE TO SUPPLY THIS DOCUMENTATION COULD DELAY VERIFICATION OF YOUR CLAIM OR COULD RESULT IN REJECTION OF YOUR CLAIM DO NOT SEND ORIGINAL DOCUMENTS Please keep a copy of all documents that you send to the Claims Administrator I Please note: Only Weatherford common stock purchased or otherwise acquired during the Settlement Class Period (ie, April 25, 2007 to March 1, 2011, inclusive) is eligible to potentially recover under the Settlement However, because information regarding your sales of Weatherford common stock during the period from March 2, 2011 through May 27, 2011, inclusive (the 90-day look back period), will be used for purposes of calculating your Recognized Claim under the Plan of Allocation contained in the Notice, information with respect to your purchases and acquisitions of Weatherford common stock during that period is needed in order to balance your claim While these purchases and acquisitions will not be used for purposes of calculating your Recognized Claim pursuant to the Plan of Allocation, the information is necessary in order to process your claim J Separate Claim Forms should be submitted for each such legal entity (eg, a claim from joint owners should not include separate transactions of just one of the joint owners, and an individual should not combine his or her IRA transactions with transactions made solely in the individual s name) Conversely, a single Claim Form should be submitted on behalf of one legal entity including all transactions made by that entity on one Claim Form, no matter how many separate accounts that entity has (eg, a corporation with multiple brokerage accounts should include all transactions made in all accounts on one Claim Form) K All joint beneficial owners must sign this Claim Form If you purchased or acquired Weatherford common stock in your name, you are the beneficial owner as well as the record owner If, however, you purchased or acquired Weatherford common stock and the common stock was registered in the name of a third party, such as a nominee or brokerage firm, you are the beneficial owner of the common stock, but the third party is the record owner L Agents, executors, administrators, guardians, and trustees must complete and sign the Claim Form on behalf of persons represented by them, and they must: (a) expressly state the capacity in which they are acting; (b) identify the name, account number, Social Security Number (or taxpayer identification number), address and telephone number of the beneficial owner of (or other person or entity on whose behalf they are acting with respect to) the Weatherford common stock; and (c) furnish herewith evidence of their authority to bind the person or entity on whose behalf they are acting (Authority to complete and sign a Claim Form cannot be established by stockbrokers demonstrating only that they have discretionary authority to trade stock in another person s accounts) M By submitting a signed Claim Form, you will be swearing that you: (a) own(ed) the Weatherford common stock you have listed in the Claim Form; or (b) are expressly authorized to act on behalf of the owner thereof N By submitting a signed Claim Form, you will be swearing to the truth of the statements contained therein and the genuineness of the documents attached thereto, subject to penalties of perjury under the laws of the United States of America The making of false statements, or the submission of forged or fraudulent documentation, will result in the rejection of your claim and may subject you to civil liability or criminal prosecution O If you have questions concerning the Claim Form, or need additional copies of the Claim Form or Notice, you may contact the Claims Administrator, GCG, at the above address or by toll-free phone at or you may download the documents from wwwweatherfordsecuritieslitigationsettlementcom
5 5 *P-WFD-POC/5* SECTION C - SCHEDULE OF TRANSACTIONS IN WEATHERFORD COMMON STOCK 1 BEGINNING HOLDINGS: State the number of shares of Weatherford common stock you held as of the close of trading on April 24, 2007 If none, write zero or 0 (Must be documented) Shares 2 PURCHASES/ACquisitions: Separately list each and every purchase and/or acquisition of Weatherford common stock from April 25, 2007 to May 27, 2011, inclusive (which includes the 90-day look back period) 1 (must be documented) Trade Date(s) List Chronologically (Month/Day /Year) Number of Shares Purchased or Acquired Price Per Share Aggregate Cost (Excluding fees, taxes, and commissions) / / / / / / / / / / 3 SALES: Separately list each and every sale of Weatherford common stock from April 25, 2007 to May 27, 2011, inclusive (which includes the 90-day look back period) (must be documented) Date(s) of Sale List Chronologically (Month/Day /Year) Number of Shares Sold Price Per Share Amount Received (Excluding fees, taxes, and commissions) / / / / / / / / / / 4 ENDING HOLDINGS: State the number of shares of Weatherford common stock you held as of the close of trading on May 27, 2011 (the last day of the 90-day look back period) If none, write zero or 0 (Must be documented) 1 Please note: As set forth above, information requested with respect to your purchases and acquisitions of Weatherford common stock between March 2, 2011 and May 27, 2011, inclusive, is needed in order to balance your claim; purchases and acquisitions during this period, however, are not eligible to participate in the Settlement as these purchases and acquisitions are outside the Settlement Class Period (ie, April 25, 2007 to March 1, 2011, inclusive) and will not be used for purposes of calculating your Recognized Claim pursuant to the Plan of Allocation Shares IF YOU NEED ADDITIONAL SPACE TO LIST YOUR TRANSACTIONS YOU MUST PHOTOCOPY THIS PAGE AND CHECK THIS BOX IF YOU DO NOT CHECK THIS BOX THESE ADDITIONAL PAGES WILL NOT BE REVIEWED
6 6 SECTION D RELEASE OF CLAIMS AND SIGNATURE *P-WFD-POC/6* YOU MUST ALSO READ THE RELEASE AND CERTIFICATION BELOW AND SIGN ON THE NEXT PAGE I (we) hereby acknowledge that as of the Effective Date of the Settlement, pursuant to the terms set forth in the Stipulation for the Settlement, I (we) shall be deemed to have, and by operation of law and the Judgment shall have fully, finally and forever compromised, settled, released, resolved, relinquished, waived, discharged and dismissed each and every Settled Claim (as that term is defined in the Stipulation), and shall forever be enjoined from prosecuting any or all of the Settled Claims against any of the Released Parties (as that term is defined in the Stipulation) SECTION E CERTIFICATION By signing and submitting this Claim Form, the Claimant(s) or the person(s) who represents the Claimant(s) certifies (certify), as follows: 1 that I (we) have read the Notice, the Plan of Allocation and the Claim Form, including the releases provided for in the Settlement; 2 that the Claimant(s) is (are) members of the Settlement Class, as defined in the Notice, and is (are) not one of the individuals or entities excluded from the Settlement Class (as set forth in the Notice and above in Section B, paragraph C); 3 that the Claimant(s) has (have) not submitted a request for exclusion from the Settlement Class; 4 that the Claimant(s) owns(ed) the Weatherford common stock identified in the Claim Form and (has) have not assigned the claim against the Released Parties to another, or that, in signing and submitting this Claim Form, the Claimant(s) has (have) the authority to act on behalf of the owner(s) thereof; 5 that the Claimant(s) has (have) not submitted any other claim covering the same purchases, acquisitions, sales, or holdings of Weatherford common stock and knows of no other person having done so on his/her/its/their behalf; 6 that the Claimant(s) submits (submit) to the jurisdiction of the Court with respect to his/her/its/their claim and for purposes of enforcing the releases set forth herein; 7 that I (we) agree to furnish such additional information with respect to this Claim Form as the Claims Administrator or the Court may require; 8 that the Claimant(s) waives (waive) the right to trial by jury, to the extent it exists, and agrees (agree) to the Court s summary disposition of the determination of the validity or amount of the claim made by this Claim Form; 9 that I (we) acknowledge that the Claimant(s) will be bound by and subject to the terms of any judgment that may be entered in the Action; and 10 that the Claimant(s) is (are) NOT subject to backup withholding under the provisions of Section 3406(a)(1)(C) of the Internal Revenue Code because: (i) the Claimant(s) is (are) exempt from backup withholding; or (ii) the Claimant(s) has (have) not been notified by the IRS that he/she/it/they is (are) subject to backup withholding as a result of a failure to report all interest or dividends; or (iii) the IRS has notified the Claimant(s) that he/she/it/they is (are) no longer subject to backup withholding If the IRS has notified the Claimant(s) that he/she/it/they is (are) subject to backup withholding, please strike out the language in the preceding sentence indicating that the Claimant(s) is (are) not subject to backup withholding in the certification above
7 7 SECTION E CERTIFICATION (CONTINUED) *P-WFD-POC/7* UNDER THE PENALTIES OF PERJURY, I (WE) CERTIFY THAT ALL OF THE INFORMATION PROVIDED BY ME (US) ON THIS FORM IS TRUE, CORRECT, AND COMPLETE, AND THAT THE DOCUMENTS SUBMITTED HEREWITH ARE TRUE AND CORRECT COPIES OF WHAT THEY PURPORT TO BE Signature of Claimant Print Name of Claimant Date Signature of Joint Claimant, if any Print Name of Joint Claimant, if any Date If Claimant is other than an individual, or is not the person completing this form, the following also must be provided: Signature of Person Completing Form Print Name of Person Completing Form Date Capacity of person signing on behalf of Claimant, if other than an individual, eg, executor, president, custodian, etc THIS CLAIM FORM MUST BE MAILED TO THE CLAIMS ADMINISTRATOR BY FIRST-CLASS MAIL, POSTAGE PREPAID, POSTMARKED NO LATER THAN AUGUST 19, 2014, ADDRESSED AS FOLLOWS: In re Weatherford International Securities Litigation c/o GCG PO Box Dublin, OH A Claim Form received by the Claims Administrator shall be deemed to have been submitted when posted, if mailed by August 19, 2014 and if a postmark is indicated on the envelope and it is mailed First-Class, and addressed in accordance with the above instructions In all other cases, a Claim Form shall be deemed to have been submitted when actually received by the Claims Administrator
8 CHECKLIST REGARDING PROOF OF CLAIM FORM 1 Please sign the release and certification on the enclosed Claim Form If this Claim Form is being made on behalf of joint Claimants, then both must sign 2 Remember to attach only copies of acceptable supporting documentation 3 Please do not highlight any portion of the Claim Form or any supporting documents 4 Do not send original stock certificates or documentation These items cannot be returned to you by the Claims Administrator 5 Keep copies of the completed Claim Form and documentation for your own records 6 The Claims Administrator will acknowledge receipt of your Claim Form by mail, within 60 days Your claim is not deemed submitted until you receive an acknowledgement postcard If you do not receive an acknowledgement postcard within 60 days, please call the Claims Administrator toll free at If your address changes in the future, or if the Claim Form was sent to an old or incorrect address, please send the Claims Administrator written notification of your new address If you change your name, please inform the Claims Administrator 8 If you have any questions or concerns regarding your claim, please contact the Claims Administrator at the below address or at , or visit wwwweatherfordsecuritieslitigationsettlementcom THIS PROOF OF CLAIM MUST BE POSTMARKED NO LATER THAN AUGUST 19, 2014 AND MUST BE MAILED TO: In re Weatherford International Securities Litigation c/o GCG PO Box Dublin, OH
Freedman v. Weatherford International Ltd., et al. c/o GCG P.O. Box 10177 Dublin, OH 43017-3177 1-855-382-6459 PROOF OF CLAIM AND RELEASE
Must be Postmarked or Received No Later Than December 9, 2015 Freedman v Weatherford International Ltd, et al c/o GCG PO Box 10177 Dublin, OH 43017-3177 1-855-382-6459 WFR *P-WFR-POC/1* Claim Number: Control
More informationGENERAL INSTRUCTIONS
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK IN RE: SATYAM COMPUTER SERVICES LTD. SECURITIES LITIGATION No. 09-MD-2027-BSJ PROOF OF CLAIM AND RELEASE TO BE ELIGIBLE TO RECEIVE A SHARE OF
More informationPROOF OF CLAIM AND RELEASE FORM
MUST BE POSTMARKED NO LATER THAN DECEMBER 28, 2015 In re Tower Group International, Ltd. Securities Litigation c/o A.B. Data, Ltd. P.O. Box 170500 Milwaukee, WI 53217-8091 1-800-328-6074 www.towersecuritiessettlement.com
More informationPROOF OF CLAIM AND RELEASE FORM
Must be Postmarked No Later Than December 3, 2015 In re MF Global Holdings Limited Securities Litigation c/o Garden City Group, LLC P.O. Box 10164 Dublin, OH 43017-3164 1-877-940-5045 www.mfglobalsecuritiesclassaction.com
More informationPROOF OF CLAIM AND RELEASE FORM
In re Bank of New York Mellon Corp. Securities Action c/o Epiq Systems, Claims Administrator P.O. Box 3410 Portland, OR 97208-3410 Toll Free Number: (877) 819-9774 Settlement Website: www.bnymfxsecuritieslitigation.com
More informationPROOF OF CLAIM AND RELEASE FORM
In re Merck & Co., Inc. Vioxx Securities Litigation c/o Epiq Systems P.O. Box 6659 Portland, OR 97228-6659 Toll Free Number: (866) 752-0067 Settlement Website: www.merckvioxxsecuritieslitigation.com Email:
More information*MFGLOBAL* For Official Use Only
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK MICHAEL RUBIN, Plaintiff, v. MF GLOBAL, LTD., et al., Defendants. Case No. 08 Civ. 2233 (VM) PROOF OF CLAIM AND RELEASE *MFGLOBAL* For Official
More informationPROOF OF CLAIM AND RELEASE
Must Be Postmarked No Later Than November 6, 2015 In re Delcath Systems, Inc Securities Litigation c/o Garden City Group, LLC PO Box 10189 Dublin, OH 43017-3189 1-888-470-0243 wwwdelcathsecuritieslitigationcom
More informationPROOF OF CLAIM AND RELEASE YOU MUST COMPLETE THIS CLAIM FORM AND SUBMIT IT BY NOVEMBER 23, 2013 TO BE ELIGIBLE TO SHARE IN THE SETTLEMENT.
MUST BE POSTMARKED NO LATER THAN NOVEMBER 23, 2013 UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF TEXAS DALLAS DIVISION Grant Barfuss, et al, v. DGSE Companies, Inc., et al. No. 12 Civ. 3664 (JJB) ECF
More informationPROOF OF CLAIM AND RELEASE. Address: City:
Deadline For Submission: May 27, 2005 Toll Free: PROOF OF CLAIM AND RELEASE PPI *P-PPIF-APOC/1* STATEMENT OF CLAIM: Claim Number: Control Number: WRITE ANY NAME AND ADDRESS CORRECTIONS BELOW OR IF THERE
More informationIn re CRM Holdings, Ltd. Securities Litigation c/o GCG P.O. Box 10129 Dublin, OH 43017-3129 Toll-Free: 1 (844) 322-8246
Must be Postmarked No Later Than March 18, 2015 In re CRM Holdings, Ltd Securities Litigation c/o GCG PO Box 10129 Dublin, OH 43017-3129 Toll-Free: 1 (844) 322-8246 CRH *P-CRH-POC/1* Control No: Claim
More informationPROOF OF CLAIM AND RELEASE
Deadline for Submission: April 22, 2015 Uni Pixel, Inc. Litigation c/o Strategic Claims Services P.O. Box 230 600 N. Jackson St., Ste. 3 Media, PA 19063 Tel.: 866 274 4004 Fax: 610 565 7985 info@strategicclaims.net
More informationThe St. Paul Companies, Inc. Securities Litigation. c/o The Garden City Group, Inc.
Must be Postmarked No Later Than September 12, 2004 PART I: CLAIMANT IDENTIFICATION Claim Number: Control Number: The St. Paul Companies, Inc. Securities Litigation c/o The Garden City Group, Inc. Claims
More informationPROOF OF CLAIM AND RELEASE
DYP Securities Litigation 600 N. Jackson St., Ste. 3 Tel.: 866-274-4004 Fax: 610-565-7985 info@strategicclaims.net PROOF OF CLAIM AND RELEASE Deadline for Submission: October 9, 2013 IF YOU PURCHASED OR
More informationUNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK IN RE AMERICAN INTERNATIONAL GROUP, INC. SECURITIES LITIGATION Master File No. 04 Civ. 8141 (JES) PROOF OF CLAIM GENERAL INSTRUCTIONS 1. To receive
More informationIMPORTANT LEGAL MATERIALS
FAIRFIELD GREENWICH SECURITIES LITIGATION C/O RUST CONSULTING, INC. P.O. BOX 2874 FARIBAULT, MN 55021-8674 IMPORTANT LEGAL MATERIALS UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK PASHA S.
More informationPROOF OF CLAIM IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MINNESOTA
PROOF OF CLAIM IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MINNESOTA WILLIAM DEAN, individually, on behalf of himself and all others similarly situated, Plaintiff, Civ. No. 14-cv-00376 DFW/JSM
More informationPROOF OF CLAIM AND RELEASE FORM. Blitz v. AgFeed Industries, Inc. c/o Claims Administrator PO Box 3207 Portland, OR 97208-3207 Tel: 800-625-7675
Blitz v. AgFeed Industries, Inc. c/o Claims Administrator PO Box 3207 Portland, OR 97208-3207 A. GENERAL INSTRUCTIONS & INFORMATION PROOF OF CLAIM AND RELEASE FORM 1. You are urged to read carefully the
More informationPROOF OF CLAIM AND RELEASE FORM
A. GENERAL INSTRUCTIONS & INFORMATION PROOF OF CLAIM AND RELEASE FORM 1. You are urged to read carefully the accompanying Notice of Pendency of Class Action and Proposed Settlement, Settlement Fairness
More informationI. GENERAL INSTRUCTIONS
UNITED STATES DISTRICT COURT EASTERN DISTRICT OF PENNSYLVANIA In re ACE LIMITED SECURITIES LITIGATION ) MDL No. 1675 ) CLASS ACTION PROOF OF CLAIM AND RELEASE I. GENERAL INSTRUCTIONS 1. To recover as a
More informationJPM FAIR FUND CLAIM FORM
UNITED STATES OF AMERICA SECURITIES AND EXCHANGE COMMISSION JPM FAIR FUND CLAIM FORM Claim Forms may be submitted online by visiting the JPMorgan Chase Non Disclosure Fair Fund ( JPM Fair Fund ) website:
More informationUNITED STATES DISTRICT COURT NORTHERN DISTRICT OF GEORGIA ATLANTA DIVISION NOTICE OF PENDENCY AND SETTLEMENT OF CLASS ACTION
UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF GEORGIA ATLANTA DIVISION In re MiMedx Group, Inc. Securities Litigation Civil Action No 1:13-cv-03074 Hon. Thomas W. Thrash CLASS ACTION NOTICE OF PENDENCY
More informationCase 2:10-cv-02847-IPJ Document 292 Filed 05/27/15 Page 1 of 12 UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION
Case 2:10-cv-02847-IPJ Document 292 Filed 05/27/15 Page 1 of 12 FILED 2015 May-27 AM 10:35 U.S. DISTRICT COURT N.D. OF ALABAMA UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION
More informationUNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK : No 05 Civ 7583 (WHP) : IN RE: SMITH BARNEY TRANSFER AGENT LITIGATION : : PROOF OF CLAIM AND RELEASE FORM : YOU MUST COMPLETE THIS CLAIM FORM
More informationUNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS PROOF OF CLAIM AND RELEASE
UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS SILVERSTRAND INVESTMENTS, SAFRON CAPITAL CORPORATION, and BRIARWOOD INVESTMENTS, INC., On Behalf of Themselves and All Others Similarly Situated,
More informationx : : : : : : : : : : x : : : : : : : : : : : x Civil Action No. 10 Civ. 4429-LAP ECF Case CLASS ACTION
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK NECA-IBEW HEALTH & WELFARE FUND, Individually and On Behalf of All Others Similarly Situated, vs. GOLDMAN, SACHS & CO., et al., Plaintiff, Defendants.
More informationUNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA
UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA RANDY ROMERO; ET AL., Plaintiff, v. GROWLIFE, INC.; ET AL, Master File No. CV14 3015 CAS(JEMx) CLASS ACTION Hon. Christina A. Snyder Defendants.
More informationCase3:12-cv-05980-CRB Document265 Filed07/20/15 Page2 of 12
Case:-cv-00-CRB Document Filed0// Page of UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA SAN FRANCISCO DIVISION 0 IN RE HP SECURITIES LITIGATION, This Document Relates To: All Actions MASTER
More informationUNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF CALIFORNIA ) ) ) ) ) )
In re BRIDGEPOIT EDUCATIO, IC. SECURITIES LITIGATIO This Document Relates To: ALL ACTIOS. UITED STATES DISTRICT COURT SOUTHER DISTRICT OF CALIFORIA o. 3:12-cv-01737-JM-JLB CLASS ACTIO PROOF OF CLAIM AD
More informationA federal court has authorized this notice.
United States District Court Central District of California James Rose, INDIVIDUALLY AND ON BEHALF OF ALL OTHERS SIMILARLY SITUATED, Plaintiffs, vs. DEER CONSUMER PRODUCTS, INC., YING HE, YUEHUA IA, ZONGSHU
More informationCase 3:11-cv-00545-RCJ-WGC Document 96 Filed 12/18/14 Page 1 of 9 UNITED STATES DISTRICT COURT DISTRICT OF NEVADA
Case 3:11-cv-00545-RCJ-WGC Document 96 Filed 12/18/14 Page 1 of 9 UNITED STATES DISTRICT COURT DISTRICT OF NEVADA HOWARD L. HOWELL, Lead Plaintiff, ELLISA PANCOE, Individually and on Behalf of All Others
More informationCase 1:11-cv-01918-LGS Document 151 Filed 06/08/15 Page 1 of 7 : : : : :
Case 111-cv-01918-LGS Document 151 Filed 06/08/15 Page 1 of 7 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ------------------------------------------------------------- 6/8/15 X In re SHENGDATECH,
More informationRepresentative or Custodian Name (if different from Beneficial Owner(s) listed above)
Oppenheimer Rochester Funds Securities Litigation Toll Free Number: (877) 273-9532 Claims Administrator Website: www.oppenheimersettlement.com P.O. Box 3518 Email: info@oppenheimersettlement.com Portland,
More informationUNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK
---------------------------------------------------------------- In re WORLDSPACE, INC. SECURITIES LITIGATION ---------------------------------------------------------------- x UNITED STATES DISTRICT COURT
More informationIn the Circuit Court of the State of Oregon
In the Circuit Court of the State of Oregon for the County of Multnomah ASBESTOS WORKERS PHILADELPHIA PENSION FUND and W. DONALD WYBERT, individually and on behalf of all others similarly situated Plaintiffs,
More informationCase: 1:13-cv-02115 Document #: 66 Filed: 06/12/15 Page 1 of 11 PageID #:662
Case: 1:13-cv-02115 Document #: 66 Filed: 06/12/15 Page 1 of 11 PageID #:662 UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION IN RE GREAT LAKES DREDGE & DOCK CORPORATION SECURITIES
More informationCase 4:08-cv-00507-RP-CFB Document 245 Filed 09/02/15 Page 1 of 10
Case 4:08-cv-00507-RP-CFB Document 245 Filed 09/02/15 Page 1 of 10 IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF IOWA CENTRAL DIVISION,etal., Plaintiffs, v. WELLSFARGO&CO.,and WELLSFARGOBANK,N.A.,
More informationOffer in Compromise (Doubt as to Liability)
Form 656-L Offer in Compromise (Doubt as to Liability) CONTENTS What you need to know...2 Important information...2 Form 656-L...5 IRS contact information If you have questions about qualifying for an
More informationUNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA SAN JOSE DIVISION ) ) ) ) ) ) ) ) CLASS ACTION
In re CELERA CORP. SECURITIES LITIGATION This Document Relates To: ALL ACTIONS. UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA SAN JOSE DIVISION No. 5:10-cv-02604-EJD(HRL CLASS ACTION NOTICE
More informationA U.S. Federal Court authorized this Notice. This is not a solicitation from a lawyer.
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK IN RE WEATHERFORD INTERNATIONAL SECURITIES LITIGATION 11 Civ. 1646 (LAK) (JCF) CLASS ACTION NOTICE OF PENDENCY OF CLASS ACTION AND PROPOSED SETTLEMENT,
More informationCase 3:06-cv-00701-MJR-DGW Document 526 Filed 07/20/15 Page 1 of 8 Page ID #13631 IN THE UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF ILLINOIS
Case 3:06-cv-00701-MJR-DGW Document 526 Filed 07/20/15 Page 1 of 8 Page ID #13631 IN THE UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF ILLINOIS ANTHONY ABBOTT, et al., ) ) No: 06-701-MJR-DGW Plaintiffs,
More informationA. Current account owner(s) Complete section 2, you may need to obtain a Medallion Guarantee. B. New account owner(s) Complete sections 3 through 10.
Non-Retirement Accounts N 1 Instructions Overview FOR ASSISTANCE with this form, call Shareholder Services at (800) 662-0201, or the Timothy Plan at (800) 846-7526. SIGNATURE GUARANTEE: For gifts over
More informationMid Atlantic Capital Corporation 1251 Waterfront Place Suite 510, Pittsburgh, PA 15222 412-391-7077 Fax 412-391-7220
Mid Atlantic Capital Corporation 1251 Waterfront Place Suite 510, Pittsburgh, PA 15222 412-391-7077 Fax 412-391-7220 Institutional New Account Application and Agreement ACCOUNT INFORMATION Name of Institution
More informationUNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION ) ) ) ) ) ) ) ) ) )
Case 2:03-cv-01500-KOB -TMP Document 1718 Filed 07/26/10 Page 1 of 9 FILED 2010 Jul-26 PM 02:01 U.S. DISTRICT COURT N.D. OF ALABAMA UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION
More informationORDER APPROVING SETTLEMENT AND ORDER OF DISMISSAL WITH PREJUDICE
Case 3:07-cv-01886-JAG-SCC Document 473 Filed 06/10/13 Page 1 of 9 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF PUERTO RICO SAMUEL HILDENBRAND, On Behalf of Himself and All Others Similarly
More informationUNITED STATES DISTRICT COURT DISTRICT OF MINNESOTA ) ) ) ) ) ) ) )
CASE 0:10-cv-00851-SRN-TNL Document 437 Filed 03/09/15 Page 1 of 8 UNITED STATES DISTRICT COURT DISTRICT OF MINNESOTA In re ST. JUDE MEDICAL, INC. SECURITIES LITIGATION This Document Relates To: ALL ACTIONS.
More informationMethod of delivery of the certificate(s) is at the option and risk of the owner thereof. See Instruction 1.
LETTER OF TRANSMITTAL To accompany certificates of common stock, $1.00 par value per share, of Ameriana Bancorp. The undersigned represents that I (we) have full authority to surrender without restriction
More informationCONTRIBUTION AGREEMENT of INCROWD ALABAMA FUND I, LLC
CONTRIBUTION AGREEMENT of INCROWD ALABAMA FUND I, LLC INSTRUCTIONS TO INVESTORS EACH PROSPECTIVE INVESTOR IN INCROWD ALABAMA FUND I, LLC (THE COMPANY ) SHOULD EXAMINE THE SUITABILITY OF THIS TYPE OF INVESTMENT
More informationReasons for Settlement: Avoids the costs and risks associated with continued litigation, including the danger of no recovery.
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -x : IN RE: NEVSUN RESOURCES LTD. : Civil Action No. 12 Civ. 1845 (PGG) :
More informationCase 1:12-cv-01203-VEC Document 206 Filed 10/15/15 Page 1 of 10 USDC SDNY DOCUMENT ELECTRONICALLY FILED DOC #:
Case 1:12-cv-01203-VEC Document 206 Filed 10/15/15 Page 1 of 10 USDC SDNY DOCUMENT ELECTRONICALLY FILED DOC #: DATE FILED: 10/15/2015 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK CITY OF
More information~INAL JUDGMENT AND ORDER OF DISMISSAL WITH PREJUDICE
Case 1:12-cv-06677-JSR Document 110 Filed 06/29/15 Page 1 of 6 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK EDWARD ZYBURO, on behalf of himself and all others similarly situated, NCSPLUS
More informationIN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF ARIZONA
Case :0-cv-0-DLR Document Filed 0// Page of 0 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF ARIZONA Local Teamsters Pension and Welfare Funds, et al., v. Plaintiffs, Apollo Group Incorporated,
More informationUNITED STATES DISTRICT COURT EASTERN DISTRICT OF PENNSYLVANIA ) ) ) ) ) ) ) ) CLASS ACTION
WESTERN PENNSYLVANIA ELECTRICAL EMPLOYEES PENSION FUND, Individually and on Behalf of All Others Similarly Situated, Plaintiff, vs. DENNIS ALTER, et al., Defendants. UNITED STATES DISTRICT COURT EASTERN
More informationJITEC INC. SECURITIES LITIGATION Superior Court of Quebec, Case No. 500-06-000118-006 & Case No. 500-06-000189-031 PROOF OF CLAIM AND RELEASE
JITEC IC. SECURITIES LITIGATIO Superior Court of Quebec, Case o. 500-06-000118-006 & Case o. 500-06-000189-031 PROOF OF CLAIM AD RELEASE I. GEERAL ISTRUCTIOS 1. To recover as a member of the Class based
More informationUNPAID CHECK FUND INSTRUCTIONS
UNPAID CHECK FUND INSTRUCTIONS How to file a claim: If you are an individual filing a claim: Complete the claimant portion of the claim form to the best of your knowledge. The claim form must include each
More informationSUMMARY OF SETTLEMENT. This notice explains the lawsuit, the settlement, your rights and the potential distribution of settlement funds.
SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF SOLANO Lori Davis, Michelle Smith and Paul Stockman, on behalf of themselves and all others similarly situated and on behalf of the general public,
More informationIN THE UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF NORTH CAROLINA Charlotte Division. Chapter 11
IN THE UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF NORTH CAROLINA Charlotte Division IN RE: GARLOCK SEALING TECHNOLOGIES LLC, et al., Debtors. 1 Case No. 10-BK-31607 Chapter 11 Jointly Administered
More informationCERTIFICATE OF SERVICE I hereby certify that on March 13, 2007, I electronically filed the foregoing with the Clerk of the Court using the CM/ECF system which will send notification of such filing to the
More informationCoverdell Education Savings Account Application
Coverdell Education Savings Account Application SSBT Use this application to open a Coverdell Education Savings Account (CESA). Accounts are available only to U.S. citizens and U.S. resident aliens. Please
More informationCase 1:14-cv-13477-FDS Document 64 Filed 01/29/16 Page 1 of 2 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MASSACHUSETTS
Case 1:14-cv-13477-FDS Document 64 Filed 01/29/16 Page 1 of 2 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MASSACHUSETTS RICHARD MEYER and KATHLEEN LEONE, on behalf of themselves and all others similarly
More informationSTREET ADDRESS: 3250 GREY HAWK CT., CARLSBAD, CA 92010 PHONE: 760-599-7242 *FAX:
Dear Producer: SafeBuilt Insurance Services, Inc. (SIS), DBA: Structural Insurance Services (SIS) looks forward to doing business with your agency and beginning a good working relationship. CHECKLIST Legible
More informationUNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS
UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS IN RE MODUSLINK GLOBAL SOLUTIONS, INC. SECURITIES LITIGATION CASE NO. 1:12-CV-11044 If you purchased or otherwise acquired the publicly traded common
More informationUNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK JULIO TARDIO, Individually and On Behalf of All Others Similarly Situated, vs. Plaintiff, Civil Action No. 12-cv-06619-JGK NEW ORIENTAL EDUCATION
More information~ ORDER PRELIMINARILY APPROVING THE SETTLEMENT AND PROVIDING FOR NOTICE
Case 2:08-cv-08781-HB-RLE Document 239 Filed 06/28/13 Page 1 of 10 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK NEW JERSEY FUND, ET AL., CARPENTERS HEALTH Civ. No. 08-878l-HB Plaintiffs,
More informationNOTICE OF PENDENCY OF CLASS ACTION, PROPOSED PARTIAL SETTLEMENT, AND HEARING DATE FOR COURT APPROVAL
IN THE CIRCUIT COURT OF THE SEVENTH JUDICIAL CIRCUIT IN AND FOR FLAGLER COUNTY, FLORIDA WILLIAM G. MAYFIELD, on behalf of himself and all other persons similarly situated, Plaintiff, v. CASE NO. 2009-CA-002245
More informationSIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT
Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial Agreement. For Additional Copies or Assistance
More informationIron Horse Acquisition Holding LLC 1345 Avenue of the Americas, 46 th Floor New York, New York 10105
Iron Horse Acquisition Holding LLC 1345 Avenue of the Americas, 46 th Floor New York, New York 10105 Dear Former Shareholder of Florida East Coast Industries, Inc. As you are likely aware, on July 24,
More informationLETTER OF TRANSMITTAL FOR COMMON SHARES OF ONDINE BIOMEDICAL INC.
LETTER OF TRANSMITTAL FOR COMMON SHARES OF ONDINE BIOMEDICAL INC. The instructions accompanying this Letter of Transmittal should be read carefully before this Letter of Transmittal is completed. This
More informationCase 1:09-cv-03701-JPO-JCF Document 362 Filed 08/04/15 Page 1 of 8 : : : : : : EXHIBIT A
Case 109-cv-03701-JPO-JCF Document 362 Filed 08/04/15 Page 1 of 8 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK x FORT WORTH EMPLOYEES RETIREMENT FUND, On Behalf of Itself and All Others Similarly
More informationUNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF CALIFORNIA ) ) ) ) ) ) ) ) Master File No. 3:10-cv-02502-CAB-DHB CLASS ACTION
CONSTRUCTION WORKERS PENSION TRUST FUND LAKE COUNTY AND VICINITY, Individually and on Behalf of All Others Similarly Situated, Plaintiff, vs. GENOPTIX, INC., et al., Defendants. UNITED STATES DISTRICT
More informationUNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK NOTICE OF PROPOSED CLASS ACTION SETTLEMENT AND MOTION FOR ATTORNEYS FEES AND EXPENSES
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK GLENN FREEDMAN, individually and on behalf of all similarly situated, Plaintiff, v. Civil Action No. 12-CV-2121 (LAK) WEATHERFORD INTERNATIONAL
More informationSIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT
SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial
More informationl Civil Action No. 11 Civ. 4665 (PGG)
Case 1:11-cv-04665-PGG Document 77 Filed 08/21/15 Page 1 of 13 Case 1:11-cv-04665-PGG Document 71-3 Filed 08/18/15 Page 1 of 13 Exhihit r UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORI< CITY
More informationUNITED STATES DISTRICT COURT DISTRICT OF ARIZONA ) ) ) ) ) ) ) ) No. 2:06-cv-02674-DLR CLASS ACTION
TEAMSTERS LOCAL 617 PENSION AND WELFARE FUNDS, on behalf of itself and all other similarly situated, Plaintiff, vs. APOLLO GROUP, INC., et al., Defendants. UNITED STATES DISTRICT COURT DISTRICT OF ARIZONA
More information388 Blohm Ave. PO Box 388 Aromas CA 95004-0388 (831)726-3155 FAX (831)726-3951 email aromaswd@aol.com ADDENDUM NO. 1
388 Blohm Ave. PO Box 388 Aromas CA 95004-0388 (831)726-3155 FAX (831)726-3951 email aromaswd@aol.com May 6, 2015 To: All Plan Holders From: Vicki Morris General Manager Subject: Water Serviceline Installation
More informationUNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF OHIO ) ) ) ) ) ) ) ) )
(Sample from The Altman Group Ballot Archive UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF OHIO In re: WCI STEEL, INC., et al., Debtors. Chapter 11 Case No. 03-44662 (Jointly Administered Judge Marilyn
More informationUNITED STATES DISTRICT COURT EASTERN DISTRICT OF TENNESSEE KNOXVILLE DIVISION
UNITED STATES DISTRICT COURT EASTERN DISTRICT OF TENNESSEE KNOXVILLE DIVISION IN RE MILLER ENERGY RESOURCES, INC. SECURITIES LITIGATION Civil Action No. 3:11-cv-386-TAV-CCS ORDER PRELIMINARILY APPROVING
More informationQUESTIONS? CALL 1 (844) 322-8152 OR VISIT WWW.SPARKEMAILSETTLEMENT.COM 1
Notice of Settlement And Hearing Date for Court Approval Kristina Kirby, et al. v. Spark Networks, Inc., et al., Civil Case No. BC493892 Superior Court of the State of California, County of Los Angeles
More informationCHECKLIST. SIS Insurance Services 3250 Grey Hawk Ct. Carlsbad, CA 92010
Dear Producer: SafeBuilt Insurance Services, Inc. (SIS), DBA: Structural Insurance Services (SIS) looks forward to doing business with your agency and beginning a good working relationship. CHECKLIST Legible
More informationFLEXIBLE POLYURETHANE FOAM SETTLEMENTS INSTRUCTIONS
FLEXIBLE POLYURETHANE FOAM SETTLEMENTS INSTRUCTIONS The deadline to file a Claim is February 29, 2016. We need your paperwork back as soon as possible so we can review, double check and complete all your
More informationElectronic Filing Instructions In re CRM Holdings, Ltd. Securities Litigation
Electronic Filing Instructions In re CRM Holdings, Ltd. Securities Litigation I. Important Notes PLEASE READ Electronic claim submissions apply to institutions filing on behalf of multiple clients or proprietary
More informationSIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT
Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial Agreement. For Additional Copies or Assistance
More informationINDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT
INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new Traditional IRA or Roth IRA. This application must be preceded or accompanied by a current
More informationThe form is a pro-company oriented.
Form: Description: Orientation: Reference to Other Document: Investor Information: Stock Subscription Agreement This is a sample form of Stock Subscription Agreement for the purchase of common stock in
More informationCase 1:13-cv-03116-LGS Document 131 Filed 06/24/15 Page 1 of 14 ) ) ) ) ORDER GRANTING PRELIMINARY APPROVAL OF SETTLEMENT
Case 1:13-cv-03116-LGS Document 131 Filed 06/24/15 Page 1 of 14 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK IN RE DELCATH SYSTEMS, INC. SECURITIES LITIGATION ) ) ) ) USDC SDNY DOCUMENT ELECTRONICALLY
More informationUNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION ) ) ) ) ) ) ) ) )
CITY OF LAKELAND EMPLOYEES PENSION PLAN, Individually and on Behalf of All Others Similarly Situated, Plaintiff, vs. BAXTER INTERNATIONAL INC., et al., Defendants. UNITED STATES DISTRICT COURT NORTHERN
More informationINVESTMENT ADVISORY AGREEMENT
INVESTMENT ADVISORY AGREEMENT This Investment Advisory Agreement is entered into by and between CONFLUENCE INVESTMENT MANAGEMENT LLC, a Delaware limited liability company ( Adviser ), and the undersigned
More informationI N V E S T M E N T A D V I S O R Y A G R E E M E N T
I N V E S T M E N T A D V I S O R Y A G R E E M E N T AGREEMENT, made this day of, 20 between the undersigned party,, whose mailing address is (hereinafter referred to as the CLIENT ), and TRADEWINDS CAPITAL
More informationBID BOND CITY OF EAST POINT, GEORGIA
BID BOND CITY OF EAST POINT, GEORGIA BIDDER (Name and Address): SURETY (Name and Address of Principal Place of Business): OWNER (hereinafter referred to as the City (Name and Address): City of East Point
More informationUNITED STATES DISTRICT COURT EASTERN DISTRICT OF WISCONSIN
UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WISCONSIN JOSEPH WHITE, Plaintiff, Case No. 00-C-13 88 v. Hon. J. P. Stadtmueller HEARTLAND HIGH-YIELD MUNICIPAL BOND FUND, et al. Defendants. AMENDED ORDER
More informationWHOLESALE BROKER REGISTRATION PROCESS A.
WHOLESALE BROKER REGISTRATION PROCESS A. Overview: Thank you for considering becoming a registered broker with Cherrywood Commercial Lending, LLC ("CCL"). Our registration process is outlined below. Please
More informationSUPERIOR COURT OF WASHINGTON, COUNTY OF KING THIS NOTICE MAY AFFECT YOUR RIGHTS PLEASE READ IT CAREFULLY
SUPERIOR COURT OF WASHINGTON, COUNTY OF KING MYSPINE, PS, a Washington professional services corporation; BODY RECOVERY CLINIC LLC, a Washington Limited Liability Company; and YAROSLAV KUTSY, Plaintiffs,
More informationContents. Deposit Account Contract Part 2
Deposit Account Contract Part 2 1-800-750-0959 www.fivecounty.com Contents CONTRACT TERMS AND DISCLOSURES 1 1. This is a Contract between You and Your Credit Union 1 2. Organization of Your & Our Contract
More informationINDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT
INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new Traditional IRA or Roth IRA. This application must be preceded or accompanied by a current
More informationNEW YORK CITY FALSE CLAIMS ACT Administrative Code 7-801 through 7-810 *
NEW YORK CITY FALSE CLAIMS ACT Administrative Code 7-801 through 7-810 * 7-801. Short title. This chapter shall be known as the "New York city false claims act." 7-802. Definitions. For purposes of this
More information2 of 8 10/18/2012 1:12 PM
2 of 8 10/18/2012 1:12 PM Exhibit 10.11 EXECUTION COPY SALARIED EMPLOYEE LIABILITIES ASSUMPTION AGREEMENT This SALARIED EMPLOYEE LIABILITIES ASSUMPTION AGREEMENT ( Agreement ) is made on the 22nd day of
More informationU.S. BANK CLASS ACTION NOTICE OF SETTLEMENT
U.S. BANK CLASS ACTION NOTICE OF SETTLEMENT If you are or were employed by U.S. BANK, N.A. as an In-Store Banker 1, In-Store Banker 2, Senior In-Store Banker 1, and/or Senior In-Store Banker 2 at In-Store
More informationPRIME BROKERAGE CLEARANCE SERVICES AGREEMENT SIA FORM 151
Legent Clearing Account Number PRIME BROKERAGE CLEARANCE SERVICES AGREEMENT SIA FORM 151 1 LC12 07/05 Customer Agreement for Prime Brokerage Clearance Services: Customer Name: Account Number: This Agreement
More informationBefore You Begin. INSTRUCTIONS Trading Authority Form
INSTRUCTIONS Trading Authority Form Use this form to: grant trading authority to an authorized agent (someone who is not an account owner) remove or replace authorized agents update information on an authorized
More informationSETTLEMENT CLASS NOTICE. A class action settlement involving homeowners insurance claims may provide payments to those who qualify.
SETTLEMENT CLASS NOTICE IN THE CIRCUIT COURT OF INDEPENDENCE COUNTY, ARKANSAS A class action settlement involving homeowners insurance claims may provide payments to those who qualify. There is a class
More information